James R. Pickard
Durable Medical Equipment & Medical Supplies in Jordan, NY. Individual provider (NPI-1).
NPI number1144362575
StatusActive
Last updated in NPPESSep 30, 2009
Details
- NPI
- 1144362575
- Entity type
- Individual (NPI-1)
- Name
- Mr. James R. Pickard
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 13, 2007
- Last updated
- Sep 30, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | Yes |
| 171WH0202X | Contractor, Home Modifications | 161165267 | NY |
Practice location
1075 Whiting RdJordan, NY 13080-9749
Phone 315-689-3896 · Fax 315-689-7280
Mailing address
1075 Whiting RdJordan, NY 13080-9749
Phone 315-689-3896 · Fax 315-689-7280
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